Chapter 8. Medical procedures

Janice L. Zimmerman, Charles L. Sprung

Research output: Contribution to journalShort surveypeer-review

6 Scopus citations


Purpose: To provide recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza pandemic or mass disaster with a specific focus on ensuring that adequate resources are available and appropriate protocols are developed to safely perform procedures in patients with and without influenza illness. Methods: Based on a literature review and expert opinion, a Delphi process was used to define the essential topics including performing medical procedures. Results: Key recommendations include: (1) specify high-risk procedures (aerosol generating-procedures); (2) determine if certain procedures will not be performed during a pandemic; (3) develop protocols for safe performance of high-risk procedures that include appropriateness, qualifications of personnel, site, personal protection equipment, safe technique and equipment needs; (4) ensure adequate training of personnel in high-risk procedures; (5) procedures should be performed at the bedside whenever possible; (6) ensure safe respiratory therapy practices to avoid aerosols; (7) provide safe respiratory equipment; and (8) determine criteria for cancelling and/or altering elective procedures. Conclusions: Judicious planning and adoption of protocols for safe performance of medical procedures are necessary to optimize outcomes during a pandemic.

Original languageEnglish (US)
Pages (from-to)S65-S69
JournalIntensive Care Medicine
Issue numberSUPPL. 1
StatePublished - Apr 2010


  • Disaster
  • H1N1
  • Hospital
  • Influenza epidemic
  • Intensive care unit
  • Medical procedures
  • Pandemic
  • Recommendations
  • Standard operating procedures

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine


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